Sequential bilateral breast reconstruction using a split solitary deep inferior epigastric artery perforator flap

J Reconstr Microsurg. 2012 Nov;28(9):573-5. doi: 10.1055/s-0032-1315781. Epub 2012 Jun 28.


Autogenous tissue bilateral breast reconstruction often requires microsurgical tissue transfers. The reality is that sometimes revascularization cannot be accomplished, leading to a total flap failure. If one flap survives, another attempt using a second flap is necessary to achieve symmetry. Nonmicrosurgical options to achieve this are limited. If the successful flap is bulky enough, it can be bisected to create a local island flap based on the original flap pedicle to allow completion of the contralateral reconstruction. This concept is here presented using a split deep inferior epigastric artery perforator flap for sequential bilateral breast reconstruction.

Publication types

  • Case Reports

MeSH terms

  • Breast Neoplasms / surgery*
  • Epigastric Arteries / surgery*
  • Female
  • Humans
  • Mammaplasty / methods*
  • Mastectomy
  • Microsurgery
  • Middle Aged
  • Perforator Flap / blood supply*
  • Postoperative Complications / surgery
  • Treatment Outcome